<!doctype html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport"
          content="width=device-width, user-scalable=no, initial-scale=1.0, maximum-scale=1.0, minimum-scale=1.0">
    <meta http-equiv="X-UA-Compatible" content="ie=edge">
    <title>appointment</title>
    <link rel="stylesheet" href="{{url('css/app.css')}}">
    <script src="{{url('js/app.js')}}"></script>
    <script src="{{url('plug_in/sales/js/address.js')}}"></script>
</head>
<body>
<form class="form-horizontal">
    <div class="form-group form-group-lg">
        <label class="col-sm-2 control-label" for="formGroupInputLarge">姓名：</label>
        <div class="col-sm-4">
            <input class="form-control" type="text" id="formGroupInputLarge" placeholder="Large input">
        </div>
    </div>
    <div class="form-group form-group-sm">
        <label class="col-sm-2 control-label" for="formGroupInputSmall">手机号码：</label>
        <div class="col-sm-4">
            <input class="form-control" type="text" id="formGroupInputSmall" placeholder="Small input">
        </div>
    </div>
    <div class="form-group form-group-sm">
        <label class="col-sm-2 control-label" for="formGroupInputSmall">所在省份：</label>
        <div class="col-sm-4">
            <select class="form-control" id="province">
                <option>请选择省份</option>
            </select>
        </div>
    </div>
    <div class="form-group form-group-sm">
        <label class="col-sm-2 control-label" for="formGroupInputSmall">所在城市：</label>
        <div class="col-sm-4">
            <select class="form-control" id="city">
                <option>请选择城市</option>
            </select>
        </div>
    </div>
    <div class="form-group form-group-sm">
        <label class="col-sm-2 control-label" for="formGroupInputSmall">经销商：</label>
        <div class="col-sm-4">
            <select class="form-control" id="piecearea">
                <option>请选择经销商</option>
            </select>
        </div>
    </div>
</form>
</body>
</html>